| Jordan Tanavage, PT, DPT | |
|
1850 Town Center Pkwy, Reston, VA 20190-3298 | |
| (703) 689-9000 | |
| Not Available |
| Full Name | Jordan Tanavage |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1850 Town Center Pkwy, Reston, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154190767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | CP026692T (Maryland) | Primary |
| 225100000X | Physical Therapist | 2305215372 (Virginia) | Secondary |
| Provider Name | Empowerme Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1881366730 PECOS PAC ID: 2769723162 Enrollment ID: O20230922000063 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Tanavage, PT, DPT 1525 Lincoln Cir Apt 201, Mc Lean, VA 22102-5934 Ph: (240) 577-8351 | Jordan Tanavage, PT, DPT 1850 Town Center Pkwy, Reston, VA 20190-3298 Ph: (703) 689-9000 |
Mrs. Nancy Paula Krall, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1800 Cameron Glen Dr, Reston, VA 20190 Phone: 703-834-5950 | |
Gabrielle Pham-che, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1860 Town Center Dr, Reston, VA 20190 Phone: 703-483-4684 | |
Gemma Leonard, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11800 Sunrise Valley Dr, Reston, VA 20191 Phone: 703-709-1118 | |
Mr. Hugh William Mcgee Jr., PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1850 Town Center Pkwy, 403, Reston, VA 20190 Phone: 703-736-2806 Fax: 703-736-1677 | |
Carly Fuller, PT DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1760 Reston Pkwy Ste 403, Reston, VA 20190 Phone: 703-230-1760 Fax: 702-230-1761 | |
Natalie Colleen Burnett Drummond, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1860 Town Center Dr, Suite 300, Reston, VA 20190 Phone: 703-483-4650 Fax: 703-787-6575 | |
Peak Performance Physical Therapy, Plc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11301 Sunset Hills Rd, Suite A3, Reston, VA 20190 Phone: 703-473-1515 Fax: 703-473-8333 |